NPI | 1700836517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD426451) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2008036685) |
207RG0100X Internal Medicine Gastroenterology (Licence: MD D24011) | |
207RG0100X Internal Medicine Gastroenterology (Licence: IN 01092949A) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2024-04-29 |